| NPI | 1376535724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD16022) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60965635) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G74500) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2023-12-06 |